Resolution of hydrops fetalis caused by atrioventricular block: good postnatal evolution with terbutaline treatment.
Clin Exp Obstet Gynecol
; 44(1): 154-156, 2017.
Article
in En
| MEDLINE
| ID: mdl-29714889
ABSTRACT
INTRODUCTION:
Complete atrioventricular block (CAVB) is rarely seen, as it occurs in only 111 000 to 120 000 newborns. There is a serious risk of mortality in CAVB, mainly in those cases associated with hydrops, fetal cardiac frequency ≤ 55 beats/minute, and premature delivery. CASE REPORT Case of complete atrioventricular block with a poor prognosis (hydrops fetalis and foetal cardiac frequency < 5 beats/minute) caused by anti-La and anti-Ro antibodies. Intrauterine symptoms improved after treatment with terbutaline, permit- ting foetal viability and successful postnatal treatment with a cardiac pacemaker.DISCUSSION:
In case of complete atrioventricular block of cause autoimmune with poor prognosis should be treated with positive inotropic drugs, anticholinergics or b-mimetic in the attempt to maintain adequate ventricular frequency, and thus prevent hydrops fetalis from occurring.
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Collection:
01-internacional
Database:
MEDLINE
Main subject:
Terbutaline
/
Cardiotonic Agents
/
Hydrops Fetalis
/
Atrioventricular Block
Type of study:
Prognostic_studies
Limits:
Adult
/
Female
/
Humans
/
Newborn
Language:
En
Journal:
Clin Exp Obstet Gynecol
Year:
2017
Document type:
Article